IndividualActive
Manita Johnson
NPI 1710110168 · Home Modifications Contractor · Charlotte, NC
Provider details
- NPI number
- 1710110168
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
3125 Eastway Dr
Suite 213
Charlotte, NC 28205-5643
Phone: (704) 621-2201
Fax: (704) 900-6140
Approximate (ZIP-level) locationGet directions
Mailing address
3125 Eastway Dr
Charlotte, NC 28205-5643
Registry dates
- Enumerated
- 2009-09-02
- Last updated
- 2009-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.